Shoe Contact Dermatitis: Causes, Symptoms, and Treatment

Our shoes play an essential role in our daily lives, providing protection and comfort for our feet. However, for some people, wearing shoes can lead to an uncomfortable and irritating condition known as shoe contact dermatitis. 

Shoe contact dermatitis refers to a type of skin inflammation that occurs when your feet come into contact with certain materials or substances present in your shoes. It is a form of contact dermatitis, which is a localised skin reaction that results from direct contact with an irritant or allergen.

 

What Causes Shoe Contact Dermatitis?

Shoe contact dermatitis can be triggered by various factors, including:

• Allergens: Some people may have an allergic reaction to certain materials commonly found in shoes, such as leather, rubber, adhesives, or dyes. These allergens can cause an immune system response, leading to skin inflammation and itching.

 

• Irritants: Certain substances present in shoes, such as chemicals used in the tanning process, dyes, or glues, can irritate the skin and cause contact dermatitis. Prolonged exposure to these irritants can lead to redness, swelling, and discomfort.

 

• Sweating: Excessive sweating can contribute to shoe contact dermatitis. Moisture creates a favourable environment for bacteria and fungi to thrive, leading to skin infections and further irritation.

 

Symptoms Of Shoe Contact Dermatitis

The symptoms of shoe contact dermatitis can vary from person to person but often include:

• Redness and inflammation of the skin on the feet or toes.
• Itching, burning, or stinging sensations.
• Dry, scaly, or cracked skin.
• Blisters or oozing lesions in severe cases.
• Swelling and discomfort.
• Peeling or flaking skin.

In some cases, the symptoms may also spread to areas of the skin beyond what has come into contact with the shoes, spreading to the ankles or lower legs.

 

Treatment and Prevention

If you suspect you have shoe contact dermatitis, we recommend seeking care from a doctor or podiatrist so you can effectively ease your uncomfortable and at times painful symptoms. We recommend:

• Avoiding triggers: Identify and avoid shoes made of materials or containing substances that trigger an allergic or irritant reaction. Opt for shoes made of hypoallergenic or natural materials whenever possible.

 

• Changing footwear habits: Consider wearing open-toed shoes or sandals to allow your feet to breathe and minimise sweating. Avoid wearing shoes for prolonged periods and allow them to dry thoroughly between uses.

 

• Topical treatments: Over-the-counter hydrocortisone creams or ointments can help relieve itching and reduce inflammation. Your doctor may also prescribe stronger corticosteroid creams if necessary.

 

• Moisturising: Regularly moisturising your feet will help to keep the skin hydrated and prevent dryness and cracking. Try using fragrance-free moisturisers to avoid potential irritants.

 

• Foot hygiene: Maintain good foot hygiene by washing your feet with mild soap and warm water regularly. Ensure your shoes and socks are clean and dry before wearing them.

 

• Allergy testing: If the cause of shoe contact dermatitis remains unidentified, your doctor may recommend allergy testing to determine specific allergens to avoid in the future.